Medical coding, claims management, denial management, and payment processing solutions.
Advanced RevCycle offers billing and revenue management services for home health, hospice, and palliative care. Their team assists agencies in managing billing and collections with precision. They work with existing EMR systems.
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Aptarro offers a rules-based RevCycle Engine platform focused on denial prevention and clean-claim accuracy. Their billing and coding library automatically updates with the latest payer and regulatory requirements. The platform aims to reduce manual edits and ensure claims are accurate from the start, leading to fewer denials and greater operational efficiency.
Athelas is an AI-driven platform offering RCM, EHR, and ambient AI solutions for healthcare organizations. It aims to streamline administrative tasks, improve revenue capture, and enhance clinical documentation. The platform offers features like AI denial defense, revenue insights, and an AI-powered receptionist.
athenahealth's RCM solutions aim to scale with health systems and deliver measurable ROI. The platform focuses on automation, analytics, and scalable infrastructure to improve revenue cycle management. It helps health systems optimize their revenue through actionable dashboards and accurate coding.
Benji is an enterprise software solution designed for behavioral health. It uses automation and advanced learning to drive compliant workflows for clinical care, documentation, and revenue cycles. The platform aims to maximize revenue, compliance, and efficiency.
Camber (formerly Juniper) is an AI-driven medical billing software designed to streamline healthcare revenue cycle management. It aims to reduce denials, improve cash flow, and accelerate reimbursements. The software is built on therapy claims data and offers features like automated claim submission and real-time tracking.
Candid Health is a transformative RCM automation platform designed to eliminate unnecessary human intervention in the health insurance claims process. It helps providers increase net collections, reduce the cost to collect, and accelerate cash flow. The platform aims to proactively prevent claim issues and facilitate RCM program improvement.
Arize from Cantata provides tools for every step of the revenue cycle. It aims to provide cleaner claims, lower A/R days, and full visibility. The platform incorporates cost accounting, materials management, general ledger, predictive analytics, and claims processing.
CompuGroup Medical (CGM) delivers software and services to improve healthcare and quality of life. They offer solutions for providers, hospitals, and laboratories. CGM's offerings include revenue cycle management services and EDI solutions.
Damco provides healthcare revenue cycle management software that helps providers file claims accurately, identify problems early, and adapt to changes. It aims to reduce errors and manual effort, allowing organizations to collect payments faster and focus on patient care. The software offers comprehensive services, including coding, billing, and analytics, to enhance collections and maintain smooth operations.
EZClaim is a cost-effective and user-friendly medical billing software designed to streamline the billing process. It is suitable for both providers and billing service providers. The software aims to simplify medical billing and accelerate the revenue cycle, offering an efficient way to handle claims, payments, and reporting.
Fingent specializes in RCM software development services. They build solutions to streamline billing, accelerate payments, and maximize revenue for healthcare providers. Their HIPAA and ICD-10 compliant RCM software solutions help healthcare providers manage their finances efficiently by automating workflows and optimizing revenue collection.
Human Medical Billing is a U.S.-based provider of medical billing, coding compliance, and revenue cycle management services. They focus on improving reimbursement accuracy and reducing denials for healthcare providers. The company offers full revenue cycle management services, including credentialing and recovery of past due accounts.
ImagineOne® is a full-spectrum Revenue Cycle Management operating system designed to increase productivity. It integrates the entire revenue cycle, connecting healthcare and harnessing artificial intelligence. The platform aims to redefine efficiency and decrease the cost of end-to-end revenue cycle operations.
Innovaccer's RCM platform unifies clinical and financial data to automate RCM tasks and support value-based care. It integrates with leading EHRs like NextGen Healthcare to reduce fragmentation. The platform accelerates claims, reduces denials, and lowers administrative burden by combining predictive analytics with workflow automation and payer-provider alignment.
Inovalon empowers payers, providers, pharmacies, and life sciences organizations with data and solutions. Their software aims to drive meaningful change in patient outcomes, business performance, and healthcare economics. The company offers a range of solutions including converged quality, claims management, and data integration tools.
Kipu offers an intelligent operating system for behavioral health organizations. The platform focuses on care delivery, revenue cycle management, and compliance. Kipu aims to optimize practices, enhance patient experiences, and promote sustainable growth in the behavioral health sector.
MD Clarity offers revenue cycle management solutions for healthcare providers. The platform focuses on transparency in payer contracts, denial management, and upfront collections. It aims to help practices optimize revenue and improve patient financial experiences.
Millin Medical offers RCM software and services tailored to health and human service needs. Their platform, MillinPro, simplifies billing processes and improves financial visibility. The company has over 40 years of experience serving Medicaid and Medicare-funded organizations.
ModMed offers specialty-specific medical practice software designed to integrate clinical and administrative workflows. Their AI-powered practice management tools aim to reduce repetitive tasks and enhance decision-making. The platform supports various specialties, including dermatology, gastroenterology, and ophthalmology.
NikoHealth's RCM software provides a complete set of tools and functionalities needed to run a successful HME/DME business. It helps streamline revenue cycle management, maximize revenue with better-quality care, and decrease administrative burden. The software also facilitates the transition from fee-for-service to value-based reimbursement.
OmniMD delivers a unified, data driven RCM ecosystem designed to optimize profitability while ensuring seamless interoperability. It offers specialty focused billing intelligence, predictive denial prevention, and automated eligibility and authorizations. The platform also provides advanced financial benchmarking and intelligent patient payment automation.
OSP Labs offers customized revenue cycle management (RCM) software to help streamline the workflow of medical organizations. Their solutions efficiently address the administration of finances and revenues, managing financial processes like billing, claims, and payments. OSP's tailored RCM platforms consolidate financial management activities and help healthcare organizations make strategic decisions to improve revenues.
PhyGeneSys is a revenue cycle management (RCM) solution designed for specialty medical groups and billing companies. It aims to optimize workflows through automation and provides real-time analytics for tracking key performance indicators. The platform focuses on improving collections and reducing errors while adhering to integrated security standards to protect patient data and revenue.
pMD offers integrated practice management software and services. They aim to empower practices to deliver the best care possible while running efficiently. pMD provides white glove implementation, training, 24/7 live support, and ongoing account management.
PMMC's revenue cycle management (RCM) solutions are designed for hospitals and health systems. The software aims to maximize revenue and increase productivity across the revenue cycle. It offers an integrated approach to drive revenue and efficiency.
Quadax offers comprehensive revenue cycle management (RCM) solutions to streamline billing, increase revenue, and minimize bad debt for healthcare organizations. Their solutions analyze each stage of the revenue cycle to optimize financial performance. They also ensure patients receive high-quality care.
Phare is a healthcare revenue operating system that automates complex work through an integrated agentic system. It utilizes AI agents and orchestration to streamline the revenue cycle. The platform is built on R1’s AI governance framework to provide guardrails for data usage, compliance and transparency.
RCM Matter, a TechMatter Company, specializes in medical billing and revenue cycle management services. They aim to improve the revenue cycle for healthcare providers, allowing them to focus on patient care. The company offers tailored billing solutions for various healthcare providers, including claim management and real-time reporting.
RecVue RevOS is a unified Revenue Operating System connecting billing, revenue recognition, and intelligent collections. It is designed to deliver predictable cash flow. The platform aims to unify processes and accelerate monetization.
Remedly RCM is a cloud-based revenue cycle management software designed to streamline billing, revenue collection, and insurance claim processing. It offers features like claims management, real-time claims tracking, and an AI assistant to predict claim acceptance. The software aims to enhance data accuracy, reduce rejected claims, and accelerate revenue collections for medical practices of all sizes.
Rivet accelerates revenue with tools for payer contract management, claim denial prevention, and patient cost estimates. The platform provides revenue forecasting using AI and real-time reporting with actionable insights. It also offers payer benchmarking and contract management.
Stedi is a healthcare clearinghouse that offers fast APIs, reliable connections, and a scalable architecture. It is designed for modern RCM and supports all major healthcare billing transaction types. Stedi also provides real-time support and has broad payer coverage, connecting to over 3,400 payers.
SSI offers AI-powered revenue cycle management solutions designed to streamline workflows, optimize revenue, and improve efficiencies. Their solutions cover the revenue cycle from patient access to claims reporting. SSI also provides EDI Operations services for health plans and a suite of clinical data solutions.
Trizetto Provider Solutions (TPS) offers revenue cycle management solutions. They provide claims management, patient engagement, and rejection & denials management solutions. TPS also offers credentialing and analytics services.
Medicraft is a healthcare revenue cycle software designed to streamline the RCM process for healthcare providers. It offers features such as eligibility verification, patient management, medical billing, and coding. The software aims to improve cash flow by leveraging best practices, technology, and education.
Ventra Health provides revenue cycle management (RCM) services and technology solutions for various healthcare providers. Their data-driven approach aims to solve complex business problems for private practices, hospitals, health systems, and ambulatory surgery centers. Ventra Health utilizes AI and automation to improve billing accuracy, reduce denials, and accelerate cash flow.
Waystar is an AI-powered platform designed to simplify healthcare payments and improve financial performance for providers. The platform automates tasks, prioritizes workflows, and aims to eliminate errors in the revenue cycle. Waystar offers solutions for financial clearance, patient financial care, claim management, denial prevention, and analytics.
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Televox provides a patient engagement platform for healthcare enterprises. Their AI-driven solutions aim to drive meaningful patient relationships through automation. The platform includes built-in analytics with live response tracking to optimize performance.
Abridge is an AI platform designed for clinical conversations. It aims to improve outcomes for clinicians, nurses, and revenue cycle teams. The platform transforms patient-clinician conversations into contextually aware, clinically useful, and billable AI-generated notes.
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